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Motorsport UK RS Clubman sign on Form and Officials sign on Form- Organising Club CCROC
Event Location - Aggs Hill Quarry, GL54 4EU Event Date - 16 Jan 2022 Permit number -
124187 & 124188
The supplementary instructions will be sent by e mail.
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* Indicates required question
Email
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Your email
Name
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Your answer
Contact phone number
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Your answer
Next of kin name and contact number
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Your answer
Enter Make of car (Land Rover / Range Rover)
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Your answer
Enter Model of you car
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Your answer
Enter Class of vehicle (e.g class 4)
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Your answer
Enter class you wish to enter RTV1 / RTV2 / CCV /TYRO - TYRO class will only be ran if a young driver (under the age of 17 wishes to sign on). We very much welcome and encourage younger drivers so if someone wishes to enter into a TYRO event please get in touch by e mailing Stuart Hook using
memberships@ccroc.co.uk
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Your answer
MSUK Licence number
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Your answer
Land Rover Club Membership Number - Please provide club name if not CCROC member
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Your answer
If you have a passenger enter their name, MSUK licence number and club number here. Otherwise leave blank
Your answer
If you and your passenger are both entering as drivers (double driving the same car), please type YES in your answer here. Otherwise leave blank. Please note both drivers must sign on naming the other person as their passenger
Your answer
If you are a driver (not passenger) under the age of 18. Please provide Details of parent / guardian so that they can be sent a separate form. Otherwise leave blank
Your answer
ONLY COMPLETE THIS SECTION IF YOU ARE HELPING TO SET UP OR MARSHALING, OTHERWISE LEAVE BLANK. Enter your name in this section if you are going to act as an official at the event
Your answer
Signature - By entering your name below you are confirming that you have read and understood the MSUK signing on requirements and that you are making the declaration required by their signing on form which can be found on the clubs event webpage -
https://www.ccroc.club/events
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Your answer
Date of Signature
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MM
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DD
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YYYY
A copy of your responses will be emailed to the address you provided.
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